A case report of adrenal malakoplakia
10.3760/cma.j.cn112330-20250218-00060
- VernacularTitle:肾上腺软斑病1例报告
- Author:
Jinhu CHEN
1
;
Guosheng CHEN
;
Xiangshan FAN
;
Haoqiang SHI
;
Changsheng ZHAN
;
Chaozhao LIANG
Author Information
1. 安徽医科大学第一附属医院泌尿外科，合肥 230022
- Publication Type:Journal Article
- Keywords:
Adrenal;
Malakoplakia;
Michaelis Gutmann bodies
- From:
Chinese Journal of Urology
2025;46(8):617-619
- CountryChina
- Language:Chinese
-
Abstract:
Malakoplakia is a rare granulomatous inflammatory disease，Almost 75% of cases of malakoplakia mainly affect the genitourinary tracts，and a small proportion affect the intestines. Its occurrence in the adrenal gland is extremely rare. We report a case of adrenal malakoplakia. Who was presented to the hospital for chronic left upper abdominal pain and fever. The patient was admitted to our hospital due to the discovery of a huge mass in the left adrenal gland by CT. Pathological features of Michaelis Gutmann bodies（M-G bodies）were observed through adrenal biopsy，which revealed adrenal Malakoplakia. E. coli was cultured from both blood and the pus in the left renal parenchymal aera. After regular antibiotics treatment，the patient's fever symptoms improved compared to before. CT imaging showed that the adrenal mass had decreased in size，indicating effective treatment. Adrenal malakoplakia is easily misdiagnosed as malignant disease because of its radiological occupying performance. And its gold standard is pathology. For patients with symptoms of infection，we recommend urine，blood，pus in the pararenal area culture tests，and treatment with sensitive antibiotics according to the results of drug sensitivity testing.
